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Extraperitoneal laparoscopic radical prostatectomy: a prospective evaluation of 600 cases.
J Urol. 2005 Sep; 174(3):908-11.JU

Abstract

PURPOSE

We report our experience with the extraperitoneal approach to laparoscopic radical prostatectomy. We describe the technique, clinical and oncological results, and functional outcome.

MATERIALS AND METHODS

From February 2002, to March 2004, 600 laparoscopic radical prostatectomies were performed by an extraperitoneal approach and evaluated prospectively.

RESULTS

A total of 599 extraperitoneal procedures were performed successfully. Mean operative time was 173 minutes. Mean operative blood loss was 380 cc. The transfusion rate was 1.2%. The major and minor complications rate was 2.3% and 9.2%, respectively. The reoperation rate was 1.7%. Mean hospital stay was 6.3 days. Pathological stage was pT2 and pT3 in 72% and 28% of cases, respectively. Mean Gleason score was 7. The overall positive margin rate was 17.7% (14.6% and 25.6% of pT2 and pT3 tumors, respectively). Median followup was 12 months. Of the patients 95% had prostate specific antigen less than 0.2 ng/ml. Patients were evaluated by a self-questionnaire sent by mail before and after surgery (International Continence Society and International Index of Erectile Function-5). At a median followup of 12 months 84% of the patients were continent (no pad), 7% used 1 precautionary pad and 7% needed 1 pad routinely. At a median followup of 6 months in preoperatively potent patients (International Index of Erectile Function-5 greater than 20) the postoperative erection and intercourse rate was 64% and 43%, respectively, in those with bilateral nerve bundle preservation.

CONCLUSIONS

The extraperitoneal technique is a reliable approach to laparoscopic radical prostatectomy.

Authors+Show Affiliations

Department of Urology, Institut Montsouris, Université Pierre et Marie Curie, Paris, France. francois.rozet@imm.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

16093985

Citation

Rozet, François, et al. "Extraperitoneal Laparoscopic Radical Prostatectomy: a Prospective Evaluation of 600 Cases." The Journal of Urology, vol. 174, no. 3, 2005, pp. 908-11.
Rozet F, Galiano M, Cathelineau X, et al. Extraperitoneal laparoscopic radical prostatectomy: a prospective evaluation of 600 cases. J Urol. 2005;174(3):908-11.
Rozet, F., Galiano, M., Cathelineau, X., Barret, E., Cathala, N., & Vallancien, G. (2005). Extraperitoneal laparoscopic radical prostatectomy: a prospective evaluation of 600 cases. The Journal of Urology, 174(3), 908-11.
Rozet F, et al. Extraperitoneal Laparoscopic Radical Prostatectomy: a Prospective Evaluation of 600 Cases. J Urol. 2005;174(3):908-11. PubMed PMID: 16093985.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Extraperitoneal laparoscopic radical prostatectomy: a prospective evaluation of 600 cases. AU - Rozet,François, AU - Galiano,Marc, AU - Cathelineau,Xavier, AU - Barret,Eric, AU - Cathala,Nathalie, AU - Vallancien,Guy, PY - 2005/8/12/pubmed PY - 2005/9/29/medline PY - 2005/8/12/entrez SP - 908 EP - 11 JF - The Journal of urology JO - J Urol VL - 174 IS - 3 N2 - PURPOSE: We report our experience with the extraperitoneal approach to laparoscopic radical prostatectomy. We describe the technique, clinical and oncological results, and functional outcome. MATERIALS AND METHODS: From February 2002, to March 2004, 600 laparoscopic radical prostatectomies were performed by an extraperitoneal approach and evaluated prospectively. RESULTS: A total of 599 extraperitoneal procedures were performed successfully. Mean operative time was 173 minutes. Mean operative blood loss was 380 cc. The transfusion rate was 1.2%. The major and minor complications rate was 2.3% and 9.2%, respectively. The reoperation rate was 1.7%. Mean hospital stay was 6.3 days. Pathological stage was pT2 and pT3 in 72% and 28% of cases, respectively. Mean Gleason score was 7. The overall positive margin rate was 17.7% (14.6% and 25.6% of pT2 and pT3 tumors, respectively). Median followup was 12 months. Of the patients 95% had prostate specific antigen less than 0.2 ng/ml. Patients were evaluated by a self-questionnaire sent by mail before and after surgery (International Continence Society and International Index of Erectile Function-5). At a median followup of 12 months 84% of the patients were continent (no pad), 7% used 1 precautionary pad and 7% needed 1 pad routinely. At a median followup of 6 months in preoperatively potent patients (International Index of Erectile Function-5 greater than 20) the postoperative erection and intercourse rate was 64% and 43%, respectively, in those with bilateral nerve bundle preservation. CONCLUSIONS: The extraperitoneal technique is a reliable approach to laparoscopic radical prostatectomy. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/16093985/Extraperitoneal_laparoscopic_radical_prostatectomy:_a_prospective_evaluation_of_600_cases_ L2 - https://www.jurology.com/doi/10.1097/01.ju.0000169260.42845.c9?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -